SAN MATEO, Calif.–(BUSINESS WIRE)–A mountain-based health plan is working with Cave Consulting Group, Inc. (CCGroup) in the area of prior authorization and utilization management (PA/UM) transformation. “Over time, an objective is to limit PA/UM programs to outlier providers whose ordering patterns differ significantly from clinically appropriate ranges of clinical practice as well as their peers,” stated Dr. Douglas Cave, President of CCGroup.
![Mountain-Based Health Plan Works with CCGroup to Relax Prior Authorization and Build High Value Networks](https://cavegroup.com/wp-content/uploads/2019/03/Targeted-Healthcare-900x300.jpg)